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REPRODUCTIVE AND SEXUAL HEALTH RIGHTS PROJECT BASELINE SURVEY ADMINISTERED FOR QUANTITATIVE RESEARCH

DATE: .... / ... / 2007

Participation in this survey is purely voluntary. But we hope that you will answer all the questions below. The answers to this illustrative survey will be used to track progress in the implementation of the various national and international instruments regarding women's reproductive and sexual health rights in Rwanda.

The purpose is to develop strategies for enhancing Rwandan women's capacity to negotiate for, act and advocate around reproductive and sexual rights on their own behalf and within Rwanda's customary and religious context.

Some of the questions are personal, but necessary in order to get useful information. Your answers will be completely confidential and your name will not be written anywhere on the questionnaire or in the report. Please make every effort to answer each question as honestly as possible. Answer by circling or writing the appropriate response.

If you have any question, please ask the person administering this questionnaire.

1. How old were you on your last birth day? -- Years.

2. What is your level of schooling?

a. Nil

b. Primary School

c. Secondary School

d. University

3. What is your marital status?

a. Single

b. Married

c. Separated

d. Divorced

e. Widowed

4. How many children do you have or intend to have and why? --

5. Are the above viewpoints shared by your spouse? If NO, briefly explain why he disagrees with you --

6. What do you intend to do to reach agreement with your spouse on sexual and reproductive health rights:

a. Seek help his friends to get him convinced

b. Ask him to learn from radio programmes on family planning

c. Personally get him convinced

d. Both a & b above

e. God will help us

7. Besides possible lack of cooperation between you and your spouse/friend, state other key challenges with regards to female sexual and reproductive health rights in Rwanda? --

8. Have you ever heard about the 1994 Cairo Conference on Population and Development and the 1995 4th World Conference on Women in Beijing?

a. YES

b. NO

Name the source of information

9. Do you know that Rwanda has ratified the Convention on the Elimination of All Forms of Discrimination against Women (adopted by UN General Assembly in 1973)?

a. YES

b. NO...

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